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diagnosis adrenal insufficiency differential acth acromegaly addisons amenorrhea breast cosyntropin discharge disease evaluation laboratory management pathophysiology primary signs symptoms treatment
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Insufficiency Algorithm ... - Cosyntropin Stimulation ... Test T-1m: Baseline ... Insufficiency #Testing ... #Stimulation #endocrinology
Amenorrhea - Differential Diagnosis Algorithm Elevated FSH • Premature Ovarian Failure • Menopa use • Spontaneous Bleed With
Differential Diagnosis Algorithm ... • Hyperthyroidism ... • Weight Loss, Eating ... #endocrinology ... #causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
unclear (often the case ... then go to stim testing ... Standard Stim test ... #ACTH #Stimulation ... #Test #Endocrinology
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Differential Diagnosis Algorithm ... Pregnancy, Breast Stimulation ... TSH • Primary Hypothyroidism ... #Endocrinology ... #Causes
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... : Cosyntropin Stimulation ... Insufficiency #Algorithm ... #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... aldosterone - Low in cases ... production • CRH stimulation ... laboratory #diagnosis #testing ... #endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
disorder - Primary hypothyroidism ... clue • Blood tests ... present - ACTH stimulation ... test: Administer ... addisons #disease #endocrinology
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
pseudo-acromegaly, obesity, hypothyroidism ... glucose suppression test ... • Pituitary testing ... or refractory cases ... Diagnosis #Management #Endocrinology
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